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223346 08/26/2013 CITY OF CARMEL, INDIANA VENDOR: 00351526 Page 1 of 1 ONE CIVIC SQUARE CARMEL CLAY SCHOOLS CHECK AMOUNT: $41,065.00 CARMEL, INDIANA 46032 5201 E MAIN ST ATTN:ACCT RECEIVABLE CHECK NUMBER: 223346 CARMEL IN 46033 CHECK DATE: 8/26/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1082 4350900 8/8/13 41, 065 . 00 OTHER CONT SERVICES F1I:zvAUG 9 zot3 : ti LAYS Carmel Clay Schools Please return this form with payment to: Mr. Roger McMichael Carmel Clay Schools 5201 E. Main Street, Carmel, IN 46033 Phone: 317-844-9961 Fax: 317-571-4458 INVOICE DATE: 8/8/2013 CONTACT: Joyce Myers Make Checks Payable to: Carmel Clay Schools Group Name: Carmel Clay Parks & Recreation Contact: Ben Johnson Address: 1411 E. 116th St. City, State,Zip: Carmel, IN 46032 Building: Creekside, Carmel & Clay Middle Schools Reservation Date(s): June 3-August 2, 2013 z� Rent: Facility 1 2 Gymnasiums 6:30 AM -6:30 PM Mon-Fri 43.00 $955.00 $41,065.00 Facility 2 -Facility 3 Custodial: Utilities: Air Conditioning Additional Custodian: Kitchen Staff: Auditorium Director: Auditorium Student Assistants: Make Check Payable to: CARMEL CLAY SCHOOLS Please make additional copies of this invoice as needed and send a copy with each payment to ensure proper credit for payment. Payment Due Date Upon Camp Conclusion &kool Kew 48 f6r &,V,1YMA Cars 10$2-9q-43�900 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. 00351526 Carmel Clay Schools Terms 5201 E. Main St. Date Due Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 8/8/13 8/8/13 School rental for Summer camps $ 41,065.00 Total $ 41,065.00 1 hereby certify that the attached invoice(s), or bill(s)is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 , 20 Clerk-Treasurer Voucher No. Warrant No. 00351526 Carmel Clay Schools Allowed 20 5201 E. Main St. Carmel, IN 46033 In Sum of$ $ 41,065.00 ON ACCOUNT OF APPROPRIATION FOR 108 - ESE PO#or INVOICE NO. \CCT#/TITLI AMOUNT Board Members Dept# 1082-99 8/8/13 4350900 $ 41,065,00 1 hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and that the materials or services Iternlzed thereon for which charge is made were ordered and received except 22-Aug 2013 Signature $ 41,065.00 _ _ Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund